Kaiser Permanente Good Health Starts Here CA 2011 KPIF

8/6/2019 Kaiser Permanente Good Health Starts Here CA 2011 KPIF

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Have a question? We’re here to hep. Ca .2

Choosing good heath

is not a singe decision,

but a ietime o itte

decisions.

Today, you’re taking

a big step toward

good heath bychoosing heath care.

We can hep.

When you choose

Kaiser Permanente,

you enjoy a word o

heathy choices. A you

have to do is continue

choosing we.

CHOO gD t

Choose your ownpersonal physician.At Kaiser Permanente, your

primary care physician works

with you and or you. Because

our doctors are not burdened

with caim orms and other

paperwork, they can ocus

on being doctors. Their most

important job is to isten and

take care o you.

Choose o be conneced. You can manage many heath care

needs rom your computer. Pus,

your eectronic heath record—

a Kaiser Permanente innovation—

heps your doctors coordinate

your care eectivey in our own

medica ofces.1

Choose o lie well.With Kaiser Permanente, your

heath care goes beyond checkups.

You can design a ftness program

onine and share your ftness goas

with your Kaiser Permanente

doctor using your eectronic

heath record.

Choose conenience.Getting the care you need is easy.

Many o our Kaiser Permanente

medica ofces eature doctors’

ofces, ab, X-ray, and pharmacy

in one ocation so you don’t haveto visit a separate aciity or every

need. Ater-hours, weekend, and

urgent care appointments are aso

avaiabe at many ocations. You’re

covered 24/7.

Choose o ake chare.With Kaiser Permanente, you

are in charge o your heath. You

choose your doctor. You choose

the medica ofce most convenient

or you. You choose the pan that’s

right or you or your amiy. In act,

our entire heath system—doctors,

medica aciities, technoogy—

is centered around you and your

persona needs.

Choose o ines in yourself.Today, more than ever, you want

vaue or your money. You need

a choice o aordabe pans that

provide high-quaity care.

That’s why we oer a wide range

o pans and pan types—a

eaturing the benefts you need

as we as preventive care,

avaiabe or no charge rom

the frst day o coverage.

Take a ook at what we oer.

Then ca us at 1-800-494-5314.

Or, i you are working with a broker

contact him or her or assistance.

Your broker wi be happy to ead

you through the pan seection

and appication process.

I you ca us, a icensed agent wi

expain your pan choices and wi

hep you decide which pan is best

or you.

We wish you ood healh.Choose o apply now.

1Most eatures are ony avaiabe tomembers receiving care at KaiserPermanente medica aciities.

www.HealthCoverageQuotes.com

http://www.healthcoveragequotes.com/ca_kaiser_get_a_quote




Get a aster response when you appy onine. It’s easy and convenient!

Visit

CHOO A PlA THAT t D

We oer severa typeso heath coverage

or individuas and

amiies. A eature

quaity care—the

main dierence is

how you pay or it.

1Tax reerences reate to edera incometax ony. Pease consut a tax adviser ortax savings inormation.

Copaymen plans n o deducible

n e chares for docor’s ofce isis

With copayment pans, you pay specifc charges (or copayments) or

certain covered services, so you know your out-o-pocket costs or doctor’s

ofce visits and prescriptions in advance. And since you don’t have to meet

a deductibe, you can pay copayments or many covered services rom the

frst day o coverage. ee the Copayment Plans brochure or detais.

Deducible plans n nnual deducibles

n ower premiums

These pans oer ower monthy premiums in exchange or your sharing

more o the costs in copayments, deductibes, and coinsurance. ee the

Deductible Plans brochure or more inormation.

-qualied deducible plans n nnual deducibles

n Pay for healh care wih ax-deducible dollars

These pans oer quaity medica coverage, some o our owest premiums,

and a tax-ree way to buid savings or quaifed medica expenses.1 ee the

HSA-Qualied Deductible Plans brochure or detais.






Preenie serices o help you keep wellOur goa is to hep you stay heathy. That’s why we provide preventive care

services that monitor you when you’re we and can warn you when you’re

risk o becoming i. Here’s a samping o our preventive care services.

n Immunizations

n We-chid visits (0–23 months)

n Autism screening

n Routine preventive physica exams

n We-woman visits

n Mammogram screening

n Choestero tests (ipid pane and profe)

Choose simpliciy wih online accessFrom the convenience o your own computer, you can manage many o

your heath needs. Imagine e-maiing your doctor’s ofce with a question

you orgot to ask, or checking most ab resuts as soon as they’re avaiabe

My Heath Manager, avaiabe to members at kp.or, makes managing

your heath easier. My Heath Manager is avaiabe 24 hours a day, sevendays a week—and registering is quick and easy.

Wih My ealh Manaer, you can: n -mai your doctor’s ofce.

n View most test resuts as soon as they’re avaiabe.

n Receive reminders or checkups and immunizations.

n Order prescription refs (most can be maied to you postage-paid).

n chedue, cance, or review routine appointments.

n Review recent ofce visits, incuding recommended oow-up steps.

These ree, secure eatures can hep you spend ess time managing your

heath and more time enjoying it. With My Heath Manager, you’re in charg

o your own heath.

CHOO A lIFTIM OF vg W

taying heathy is theutimate beneft. We

beieve preventive

care is the oundation

o good heath, and

we back that up with

our coverage. Our

preventive heath careservices are avaiabe

or no charge. And you

don’t have to meet a

deductibe frst.

1-800-569-1156




Visit

Santa RosaMountains

San JacintoMountains

San BernardinoNational Forest

San BernardinoNational Forest

ClevelandNational Forest

San BernardinoMountains

ClevelandNational Forest

Anza-Borrego DesertState Park

Edwards Air Force Base

h in Ll n n t r

T h ch iuntin

i rruntinFI A PvD AR YO

For more inormation

on Kaiser Permanente

medica aciities, visit

buykp.or/locaions. Maps not to scale

Kern Couny area

With more than 160

ocations in Caiornia,

you’re sure to fnd a

aciity near you.

Maps not to scale

n Kaiser Permanente medical centers(hospital and medical ofces)

● Kaiser Permanente medical ofces

Afliated plan hospitals

Afliated medical ofces

resno Couny

ouhern California

orhern California







FRTlY AKTIO

ome o the most common questions peope have

about our pans are incuded here. I you have questions

about a specifc type o pan or a particuar beneft,

pease see “Beneft Highights” in the accompanying

brochures. Or you may ca us at 1-800-494-5314.

We’ be happy to answer any questions. I you are

working with an agent or a broker, pease contact

him or her or assistance.

s a physical exam required o apply?o. A you have to do is compete the medica

questionnaire incuded in your appication.

Can apply o enroll my family? Yes. You may appy to enro yourse, just your

chidren, or your entire amiy.1 ach amiy member

who quaifes wi be enroed under his or her own

pan at a separate rate.

This aows you to easiy seect dierent pans or

dierent amiy members. For exampe, you may

want the extra coverage oered by copaymentpans or your young chidren. But perhaps you and

your spouse ike the retirement savings option with

HA pans. The choice is yours.

re preenie serices coered? Yes. They are avaiabe or no charge rom the frst

day o coverage. You don’t have to meet a deductibe

frst or preventive services. I you woud ike to see

a u isting o preventive services, pease ca

1-800-494-5314 and request a copy o the

Membership Agreement or Certicate of Insurance.

Or i you are working with an agent or a broker,contact him or her or assistance.

re prescripion medicaions coered?ow do e my prescripions lled?Can order my prescripions by mail?Most o our pans oer prescription coverage.

You can order most refs onine with My Heath

Manager and pick them up at your medica ofce

or receive them by mai at no extra charge.

ow do -qualied deducibleplans work?HA-quaifed pans are a type o deductibe pan

designed to work with a heath savings account,

or HA. The advantage o an HA-quaifed pan is

that you can deposit tax-deductibe doars into theaccount that you can ater use to pay or quaifed

medica expenses.2 Pus, any interest that the HA

might earn is tax ree. And any unds you don’t use

in one year wi ro over to the next. There’s no “use it

or ose it” with HAs.

For more inormation, see the HSA-Qualied

Deductible Plans brochure.

1Chid enroment may be subject tostate-mandated open enroment periods.

2 Tax reerences reate to edera income taxony. Pease consut a tax adviser or taxsavings inormation.

1-800-569-1156




Visit

Do hae a copay or coinsurance on adeducible plan?In a deductibe pan, you must meet your deductibe

beore you are eigibe to pay a copay or coinsurance

or most covered services. However, there is no charge

rom the frst day o coverage or preventive services.

Wha is he difference beween hededucible and he ou-of-pocke

maximum?In a deductibe pan, the deducible is the se

amoun you must pay in a caendar year beore

Kaiser Permanente wi begin to cover certain services.

Once you pay that amount out o pocket, you are

eigibe to pay coinsurance or copayments or most

services. The ou-of-pocke maximum is the

maximum amoun you wi have to pay out o pocket

or covered services in a caendar year.

Do you offer a denal plan? Yes. Kaiser Permanente oers an optiona enta

Insurance Pan. This pan is underwritten by KaiserPermanente Insurance Company (KPIC), a subsidiary

o Kaiser Foundation Heath Pan, Inc., and administered

by eta enta o Caiornia. ee the Dental Insurance

Plan yer or detais.

Wha if need care when ’m raelin? You’re covered or emergency care anywhere in the

word. I you’re temporariy outside your service area,

you’re aso covered or urgent care to prevent serious

deterioration o your heath i the care cannot be

deayed unti you return to your service area.

Do any plans coer chiropracic care? Yes. I you enro in our eductibe 30/1500 pan, you

may visit the chiropractor up to 20 times a year or a

$15 copayment per visit. And you don’t have to meet

a deductibe frst!

ow should complee he applicaionif ’m already workin wih an aen ora broker?I you are working with an agent or a broker to seect

a pan and appy or coverage, pease ca him or her

or assistance. He or she wi be abe to provide you

with a ink to the onine appication and answer any

questions you have about our pans or about how

to compete the appication.

s here a number can call if 'm hearinor speech impaired? Yes. Pease ca the to-ree TTY phone number,

1-800-777-1370, or contact your agent or brokeror assistance.

Apply online www.healthcoveragequotes.com







CHOOSE GOOD HEAL

60049035 California

Please recycle. This material was producedfrom eco-responsible resources.

KY TRM

Coinsurance: This is the

percentage o charges you

pay when you receive a covered

service. Coinsurance amounts

vary depending on the pan

and the service.

Copaymen (copay): This

is the specifc doar amount

you pay when you receive certain

covered services or prescriptions.

Copayments vary dependingon the pan and the service.

Deducible: In a deductibe

pan, the deductibe is the fxed

amount you must pay in a

caendar year beore Kaiser

Permanente wi cover certain

services in that caendar year.

ealh sains accoun(): An HA is a savings

account intended to be used

or quaifed medica expenses.

HAs have certain edera tax

advantages as we as certain

restrictions.

-qualied deducibleplans: These are deductibe

pans eigibe to be paired with

an optiona heath savingsaccount. They are simiar to

deductibe pans but work

dierenty in certain respects.

o subjec o deducible:In deductibe pans, some

medica services are covered

immediatey and thereore are

not subject to deductibe. This

means that rom your frst day o

coverage, you can receive these

services or a copayment or

coinsurance, without having to

frst satisy the deductibe.

u-of-pocke maximumThe out-o-pocket maximum

is the maximum amount you wi

have to pay or many covered

services in a caendar year.

Premium: This is the amount

you pay every month or heath

coverage.

Visit ,call .

Kaiser Permanene for ndiiduals and amilies


1-800-569-1156



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Kaiser Permanente Good Health Starts Here CA 2011 KPIF

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